Provider Demographics
NPI:1467939124
Name:ALLEVIATION BEHAVIORAL HEALTH CARE, LLC
Entity Type:Organization
Organization Name:ALLEVIATION BEHAVIORAL HEALTH CARE, LLC
Other - Org Name:ALLEVIATION BEHAVIORAL HEALTH CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-233-7138
Mailing Address - Street 1:4123B SW TWILIGHT DR
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3403
Mailing Address - Country:US
Mailing Address - Phone:785-806-6103
Mailing Address - Fax:785-430-5046
Practice Address - Street 1:4123B SW TWILIGHT DR
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-3403
Practice Address - Country:US
Practice Address - Phone:785-806-6103
Practice Address - Fax:785-430-5046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS46235261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)